YOUR DATA, YOUR CHOICE
Right to erasure
request form
Last updated: September 12, 2026
Your right to request erasure
You may request that we delete personal data associated with you from our app and systems, subject to any legal obligations or exceptions that require or permit us to retain certain information.
You do not have to use this form to submit a deletion request. However, providing the information below will help us identify your account and process your request efficiently.
Information provided through this form will be used only to verify, review, and respond to your request and for any related legal or recordkeeping requirements.
The form opens in Google Forms. No Google sign-in is required. Your response is sent privately to RehabAI.
After you submit, we will review your request and respond by email. Submitting the form does not immediately delete your data.
Submitting your request
Use the request form above or email your request to RehabAI at codyli9219@gmail.com.
Questions about how we collect, use, retain, or delete personal information can be directed to the same address.
Read our privacy policy ↗